| NPI | 1316955537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALYA BERKOWITZ Sup Pharm And Prt Owner 718-787-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3336C0003X Pharmacy, Community/Retail Pharmacy |
| Additional Taxonomies | 333600000X Pharmacy (Licence: NY 027341) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2011-12-27 |